Njira zothandizira khansa ya m'mapapo ndi siteji Zipatala

Njira Zochizira Khansa ya M'mapapo ndi Gawo: Buku Lokwanira la Chipatala Njira zochizira khansa ya m'mapapo zimasiyana kwambiri kutengera gawo la khansayo. Bukhuli limapereka ndondomeko ya njira zothandizira pa gawo lililonse, ndikugogomezera kufunikira kwa ndondomeko za chisamaliro payekha zomwe zimapangidwa mogwirizana ndi akatswiri a oncologists. Tifufuza njira zopangira maopaleshoni, chithandizo cha radiation, chemotherapy, chithandizo chomwe mukufuna, ndi immunotherapy, ndikuwonetsa udindo wa zipatala zotsogola popereka chithandizo chapamwambachi.

Kumvetsetsa Magawo a Khansa Yam'mapapo

Khansara ya m'mapapo imayendetsedwa pogwiritsa ntchito njira yomwe imaganizira kukula ndi malo a chotupacho, kukhudzidwa kwa ma lymph nodes, ndi kupezeka kwa ma metastases akutali. Magawo, kuyambira Gawo I mpaka Gawo IV, ndi ofunikira kwambiri pakuzindikira njira yoyenera yamankhwala. Khansara ya m'mapapo yoyambirira (Magawo I-IIIA) nthawi zambiri imayankha bwino kumankhwala am'deralo, pomwe khansa ya m'mapapo yapamwamba (Magawo IIIB-IV) nthawi zambiri imafuna kuphatikiza kwamankhwala.

Gawo I Njira Zochizira Khansa ya M'mapapo

Za Njira zochizira khansa ya m'mapapo ndi siteji I, opaleshoni ya opaleshoni (kuchotsa chotupa ndi minofu ya m'mapapo yozungulira) nthawi zambiri ndiye chithandizo choyambirira. Kutengera kukula ndi komwe chatupacho, njira zocheperako ngati maopaleshoni a thoracoscopic (VATS) angagwiritsidwe ntchito. Nthawi zina, chithandizo cha adjuvant chemotherapy kapena radiation therapy chingalimbikitse kuchepetsa chiopsezo chobwereza. Kusankhidwa kwa chithandizo kudzatsimikiziridwa ndi zinthu monga thanzi la wodwalayo, mtundu wa khansa ya m'mapapo (selo yaing'ono vs. Zipatala zodziwika bwino za opaleshoni yam'mimba ndi oncology zimapereka njira zapamwamba kwambiri zopangira opaleshoni komanso chisamaliro chapambuyo pa opaleshoni.

Gawo II & IIIA Njira Zochizira Khansa Yam'mapapo

Njira zothandizira khansa ya m'mapapo ndi siteji II ndi IIIA nthawi zambiri zimaphatikizapo kuphatikiza kwa opaleshoni, chemotherapy, ndi / kapena ma radiation. Dongosolo labwino kwambiri lamankhwala limasankhidwa payekhapayekha kutengera mawonekedwe a chotupacho komanso thanzi la wodwalayo. Mwachitsanzo, mankhwala a neoadjuvant chemotherapy (chemotherapy musanachite opaleshoni) angagwiritsidwe ntchito kuchepetsa chotupacho, kupangitsa opaleshoni kukhala yocheperako. Adjuvant chemotherapy pambuyo pa opaleshoni imathandizira kuchotsa maselo a khansa omwe atsala. Thandizo la radiation lingagwiritsidwe ntchito limodzi ndi opaleshoni kapena chemotherapy pofuna kulunjika kumadera enaake.

Gawo IIIB & IV Njira Zothandizira Khansa Yam'mapapo

Njira zothandizira khansa ya m'mapapo ndi siteji IIIB ndi IV, zomwe zikuyimira khansa ya m'mapapo yapamwamba, ndizovuta kwambiri ndipo zimafuna njira zosiyanasiyana. Chithandizo nthawi zambiri chimaphatikizapo njira zingapo zochiritsira, monga chemotherapy, chithandizo chomwe mukufuna, immunotherapy, ndi radiation therapy. Zochizira zomwe zimayang'aniridwa zimagwira ntchito poyang'ana mamolekyu ena omwe amakhudzidwa ndi kukula ndi kufalikira kwa maselo a khansa. Immunotherapy imathandiza chitetezo cha mthupi kulimbana ndi khansa. Chithandizo cha radiation chingagwiritsidwe ntchito kuchepetsa zizindikiro kapena kuchepetsa zotupa. Zipatala zokhala ndi zipatala zambiri za khansa, zopatsa mwayi wopeza mayeso azachipatala komanso njira zochiritsira zapamwamba, ndizofunikira kwambiri kwa odwala omwe ali m'magawo awa. Chisamaliro cha Palliative chimagwira ntchito yayikulu pakuwongolera zizindikiro ndikuwongolera moyo wa odwala omwe ali ndi khansa yam'mapapo yapamwamba.

Kusankha Chipatala Choyenera cha Chithandizo cha Khansa Yam'mapapo

Kusankhidwa kwa chipatala cha Njira zochizira khansa ya m'mapapo ndi siteji ndi chisankho chofunika kwambiri. Lingalirani zipatala ndi:

• Odziwa maopaleshoni a thoracic ndi oncologists odziwa za khansa ya m'mapapo.
• Kupeza njira zamakono zodziwira matenda ndi chithandizo (monga opaleshoni ya robotic, chithandizo chapamwamba cha radiation).
• Njira yamagulu osiyanasiyana yophatikizira akatswiri azachipatala, ma radiation oncologists, maopaleshoni am'mimba, akatswiri azachipatala, ndi akatswiri ena.
• Ndondomeko yothandizira odwala ndi mabanja awo.

Fufuzani zipatala bwino, kufunafuna ziphaso, zovomerezeka, ndi maumboni a odwala. Kwa chisamaliro chapamwamba, lingalirani zipatala zomwe zikuchita nawo mayeso azachipatala amankhwala atsopano a khansa ya m'mapapo. The Shandong Baofa Cancer Research Institute adadzipereka kupereka chisamaliro chokwanira komanso chapamwamba cha khansa ya m'mapapo.

Chodzikanira

Izi ndi zongodziwitsa anthu komanso kudziwa zambiri zokha, ndipo sizikupanga upangiri wamankhwala. Nthawi zonse funsani dokotala wodziwa bwino zachipatala pa mafunso aliwonse omwe mungakhale nawo okhudzana ndi matenda anu kapena njira zothandizira. Mapulani azachipatala amakhala amunthu payekhapayekha ndipo amadalira zinthu zosiyanasiyana za wodwala aliyense.